Individual
MARIANNE FARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
1439 18TH AVE, COLUMBUS, GA 31901-2336
(334) 524-5338
Mailing address
1439 18TH AVE, COLUMBUS, GA 31901-2336
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86044052
—
133V00000X
Registered Dietitian
LD004832
GA
Other
Enumeration date
02/16/2018
Last updated
02/16/2018
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